Colorectal Cancer Awareness Month

March is Colorectal Cancer Awareness Month, a time to raise awareness about the importance of early detection and prevention of colorectal cancer. This form of cancer is one of the leading causes of cancer-related deaths in the United States, affecting both men and women. Early detection through screening can make all the difference, and Bill Kontny, MD, General and Laparoscopic Surgeon at Fort HealthCare, shares why getting screened can save lives.

Who Should Get Screened and When?

Colorectal cancer screening guidelines have changed in recent years to address rising cases among younger individuals. Traditionally, screening began at age 50, but now it is recommended that individuals start at age 45. This change is due to an increasing number of cases being diagnosed in people under 55, with nearly 30% of new diagnoses occurring in this age group.

For individuals considered to be at “average risk”—those without a family history of colon cancer or polyps—screening typically begins at 45. If your colonoscopy results are normal, you will not need another one for 10 years. However, if polyps are discovered, follow-up screenings are necessary: for a single polyp, you will need a colonoscopy in five years; for multiple polyps, another colonoscopy will be scheduled within three years.

Understanding the Colonoscopy Process

One of the biggest concerns people have about colon cancer screening is the procedure itself. But the colonoscopy process has become simpler and more comfortable over time. The procedure typically takes around 90 minutes, including sedation, and most people can return to their normal activities the very next day. While the preparation for the procedure can feel a bit tedious, it is far easier than it used to be.

“You may feel a little groggy after the sedation, but within a day, you’ll be back to your usual routine,” Dr. Kontny explains. “It’s a safe procedure with small risks, but when compared to the potential life-saving benefits of early detection, it’s a crucial step in preventing colon cancer.”

The Importance of Early Detection

Detecting colorectal cancer early makes all the difference. If the cancer is identified in its early stages (Stage I or II), the survival rate is over 90%. However, if cancer progresses to later stages, such as Stage IV (metastatic cancer), survival rates decrease significantly, dropping to just 14%. Early screening is crucial in preventing the progression of the disease and improving overall outcomes.

Alternative Screening Options: Cologuard and More

While colonoscopy remains the gold standard for colorectal cancer screening, alternatives like Cologuard—a non-invasive stool DNA test—are available. Cologuard can detect genetic markers linked to colon cancer, but it is not as accurate as a colonoscopy. For example, about 13% of people who receive a negative Cologuard result may still have polyps or cancer that would be detected during a colonoscopy. That said, Cologuard is still a better option than no screening at all.

“If you choose not to undergo a colonoscopy, Cologuard is a better option than doing nothing,” Dr. Kontny advises. “While it’s not a perfect replacement, it can help detect people who need follow-up screening.”

Fort HealthCare’s Commitment to Colorectal Cancer Care

Colorectal Cancer Awareness Month is the perfect time to take charge of your health. If you are 45 or older (or younger with certain risk factors), it is time to talk to your healthcare provider about getting screened. Early detection is key to successful treatment and survival. At Fort HealthCare Surgical Associates, we are dedicated to providing compassionate care and the resources you need to live a healthier, longer life—because your health is our priority.